THOMAS C MCDONALD (MD) – Internal Medicine Physician, NPI 1124098488

THOMAS C MCDONALD (MD) is a healthcare provider. based in Lexington, Tennessee. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 23828 (TN). The NPI Number for THOMAS C MCDONALD (MD) is 1124098488

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS C MCDONALD (MD)
NPI
1124098488
Phone
(731) 968-9965
Address
270 W Church St
Enumeration Date
26 January 2006
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7319681812
Graduation Year
1994 (32 years ago)
PAC ID
8527972603
Group Practice PAC ID
7719896414
Professional Enrollment ID
I20031113000353
Address ID
TN383512038LE200XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,131 EMERGENCY MEDICINE in TN

Provider Addresses for THOMAS C MCDONALD (MD)

  • 270 W Church St

    Suite A

    Lexington, TN 383512077

    Phone: (731) 968-9965

    Fax: (731) 968-1940

    Type: Location

  • 2545 N Washington Ave

    Brownsville, TN 380121610

    Phone: (931) 289-4211

    Type: Location

  • 5001 E Main St

    Erin, TN 370614115

    Phone: (336) 944-6420

    Type: Location

  • 200 W CHURCH ST

    LEXINGTON, TN 383512038

    Phone: (731) 968-3646

    Fax: (731) 968-1870

    Type: Location

  • 270, West Church Street, Lexington, Henderson County, Tennessee, 38351, United States

    SUITE A

    LEXINGTON, TN 383512077

    Phone: (731) 968-9965

    Fax: (731) 968-1940

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Lilly USA, LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031113000353IEmergency MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes80334$0
97530Therapy procedure using functional activities73745$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes610230$0
97116Therapy procedure for walking training, each 15 minutes35841$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes290248$0
View full utilization report →

Insurance plans in this area (ZIP 38351)

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Provider's Procedures

THOMAS C MCDONALD (MD) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINETN85610Blood test, clotting time11813

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719896414View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineIL
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
General SurgeryOH
Internal MedicineTX
Family PracticeVA
Internal MedicineTN
Family Practice, Emergency MedicineTN

Reviews

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Frequently asked questions

Can I verify THOMAS C MCDONALD (MD) with an NPI only?
You can start verification with NPI 1124098488 for THOMAS C MCDONALD (MD), then check state licensing separately.
Can I rely on THOMAS C MCDONALD (MD) being an active provider?
As of the registry snapshot, THOMAS C MCDONALD (MD) is marked active.
What healthcare role does THOMAS C MCDONALD (MD) hold?
Scheduling teams often label THOMAS C MCDONALD (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for THOMAS C MCDONALD (MD)?
THOMAS C MCDONALD (MD)'s geographic hint is Lexington, Tennessee in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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